Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.44 / $254.00 / $964.95	Facility		$101.44	$254.00	$964.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $88.35 / $401.00	Professional		$84.54	$88.35	$401.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $86.81 / $110.25	Professional		$78.13	$86.81	$110.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.50 / $152.50 / $152.50	Facility		$152.50	$152.50	$152.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $118.42 / $234.82	Professional		$84.83	$118.42	$234.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $120.23 / $154.00	Professional		$93.75	$120.23	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $111.83 / $197.04	Professional		$75.64	$111.83	$197.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.14 / $135.19	Professional		$75.00	$100.14	$135.19